moving ai to the point of care · @mandl . title: moving ai to the point of care author: kenneth d....
TRANSCRIPT
© Boston Children’s Hospital 2017© Boston Children’s Hospital 2017
MA 2014
© Boston Children’s Hospital 2017
Despite $48B Investment in EHRs,Point of Care is a Walled Garden
Despite a $48B investment in HIT the point of care has not become a welcoming home to research
© Boston Children’s Hospital 2017© Boston Children’s Hospital 2017
Invention of the World Wide Web
• Built over the existing TCP and IP protocols, it consisted of 4 building blocks:
• A textual format to represent hypertext documents, the HyperText Markup Language(HTML).
• A simple protocol to exchange these documents, the HypertText Transfer Protocol (HTTP).
• A client to display these documents, the first Web browser called WorldWideWeb.
• A server to give access to the document, an early version of httpd.
© Boston Children’s Hospital 2017© Boston Children’s Hospital 2017
Parsimonious Standards to Create Interop
1. Substitutable apps
2. Triger-able decision support
3. Patient-generated data
4. Push button population health
© Boston Children’s Hospital 2017
2009
© Boston Children’s Hospital 2017© Boston Children’s Hospital 2017
Designing the app store for health
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Problem #1
AI apps don’t
connect to health systems data
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© Boston Children’s Hospital 2017© Boston Children’s Hospital 2017
A commercially viable app
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The App Gallery
JMIR 2019
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Problem #2
Can’t launch apps
at just the right moment
during the decision process
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Triger-able decision support
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Problem #3
Patient generated data are non-standardized and in a separate silo
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NPG Digital Medicine 2019
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The SMART Markers Framework (coming soon)
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Problem #4
Getting reference population data (for model building, updating) out of EHRs into analytic platforms is really hard
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Push button population health /FLAT FHIR
● Enhancing FHIR to ● Support Bulk Data access
© Boston Children’s Hospital 2017
Establish your independent research program at Harvard and Boston Children’s
Harvard Medical School Instructor,
Assistant, or Associate Professor
in the
Computational Health Informatics
Program
@mandl www.chip.org